nfirs 5.0 self-study program fire module: nfirs-2
TRANSCRIPT
2-1
NFIRS 5.0 Self-Study Program
Fire Module: NFIRS-2
Objectives
After completing the Fire Module the student will be able to:
1. Describe when the Fire Module is to be used.
2. Demonstrate how to complete various sections of the Fire Module, given scenarios of hypothetical incidents.
Table of Contents
Pretest #2 - Fire Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Using The Fire Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Section A: Fdid, State, incident date, Station, incident Number, Exposure Number . . . . . . . 2-4
Section B: Property details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Section C: Onsite Materials or Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Section d: ignition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Section E: Cause of ignition, Factors Contributing To ignition, Human Factors Contributing To ignition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Section F: Equipment involved in ignition, Equipment Power Source, Equipment Portability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Section G: Fire Suppression Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
Section H: Mobile Property involved in ignition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
Local Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
EXAMPLE: dwelling Fire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
EXERCiSE SCENARiO 2-1: Laundromat Fire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14
EXERCiSE SCENARiO 2-2: Vehicle Fire on i-95 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-17
NFIRS 5.0 Self-Study Program
2-3
Pretest #2 - Fire Module
1. The Fire Module should be completed for all fires in a structure.
(a) True.
(b) False.
2. The Fire Module is a required NFIRS module.
(a) True.
(b) False.
3. The Wildland Fire Module can be used in place of the Fire Module for certain incident types.
(a) True.
(b) False.
4. The Fire Module should be completed for outside rubbish fires with no casualties or property loss.
(a) True.
(b) False.
5. The Fire Module is used to document detector performance.
(a) True.
(b) False.
NFIRS 5.0 Self-Study Program
2-4
Using The Fire Module
The inset labeled, “Fire Module Required?” in the Remarks section (Block L) of the Basic Module will tell you if you need to use the Fire Module or other modules. The Fire Module is used for all
fires except for those contained fires with incident type codes 113 to 118 and outside rubbish fires codes 150 to 155. Use the Fire Module to record information on incidents involving fires, including building fires, outside storage fires, vehicle fires, and vegetation fires. The Wildland Fire Module also can be used for vegetation and other outside fires as a second option.
Section A: FDID, State, Incident Date, Station, Incident Number, Exposure Number
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
Complete this side for all fires
The information in Section A of the Fire Module is drawn from Section A of the Basic Module. Use the data in the Basic Module to help you supply the requested information. If you are using an auto-mated system the data need to be entered only once, then they will be transferred automatically into other modules that use the data.
Section B: Property DetailsStationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
Block B1 records data regarding the number of residential living units in the building of origin. The total number of units must be entered without regard to how many actually became involved in the incident.
• Forapartmentbuildings,condominiums,townhouses,androwhousesenterthenumberofseparately owned or rented units.
NFIRS 5.0 Self-Study Program
2-5
• Forhotels,motels,andthelikeenterthenumberoflodgingunits.
• Ifitisnotaresidentialunit,simplymarkthe“NotResidential”box.
Enter the total number of buildings involved in the fire in Block B2 for the initial fire. This field is not completed on exposure reports. Each exposure is numbered sequentially starting at 001. For outside fires that also consume buildings, exposure reports should be completed. If no buildings were involved, check the “Buildings not involved” box.
B3 has space to record the number of acres burned in an outside fire. Two boxes are available - one to indicate “None” and the other to specify “Less than one acre.” This should be your best estimate.
For vegetation and outside fires, the department may choose to use the Wildland Module: NFIRS-8 instead of the Fire Module: NFIRS-2.
Section C: Onsite Materials or ProductsStationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
If no significant amounts of commercial, industrial, agricultural, or energy products or materials are stored on this property mark the “None” box in Block C.
If any of the listed products or materials were present, whether or not they became involved, the rest of Block C should be completed.
To complete Block C, enter a code (found in the NFIRS Complete Reference Guide (CRG)) for any significant amount of material stored, processed, sold, or used for providing services at the property involved. Lines are provided to identify information for up to three materials. Information is entered whether or not the material was involved in the fire.
Example:
A “crack house” could be coded as a Residential Property Use (419) and the Onsite Material could be coded as 545: Illegal Drugs.
For each Onsite Material entry made, you must mark one of the four boxes to the right. Mark Processing/Manufacture if the material is both stored and processed at this site. A box must be marked whenever an Onsite Material entry is made.
NFIRS 5.0 Self-Study Program
2-6
Section D: Ignition
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
Separate lines of Block D will allow you to capture information regarding the area of fire origin, heat source, item first ignited, and type of material first ignited.
Use Line D1 for entering a code (found in the NFIRS Handbook) to indicate where the fire started. The code list is organized into three areas:
• Structure• Vehicle• Outside
This section must be completed for all fires.
Lines D2 and D3 furnish spaces to enter codes for the “Heat source” and the “Item first ignited.” You are required to make entries on both lines. If the fire spread was confined to object of origin, check the box below line D3. An unmarked box means that the fire spread beyond the object of origin.
Line D4 is for recording information regarding the type of material first ignited. You should fill in this line whenever the item code first ignited is between 00 and 70.
Section E: Cause of Ignition, Factors Contributing To Ignition, Human Factors Contributing To Ignition
In combination, Sections D and E provide excellent information on how and why a fire started. All fields in Section E are required entries.
NFIRS 5.0 Self-Study Program
2-7
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
When filling out Block E1, the first question to be answered is whether or not this is an exposure report. If it is, then check the box and go directly to Section G. Skip the rest of Sections E and all of Section F. If this is not an exposure report mark one of the other boxes in E1 to indicate the cause of ignition. In previous versions of NFIRS, users were forced to decide between incendiary and suspi-cious. The measurement of arson fires added those two codes together. Now you are able to indicate that a fire was intentionally set without stating that a crime was committed.
You also may record the cause of a fire incident as under investigation. If no cause is ever determined, the cause can be changed to undetermined after investigation. This allows managers to better track whether an investigator has updated the incident report with the actual cause.
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
Use Block E2 to record the “Factors Contributing to Ignition.” Use the appropriate codes (from the CRG). You may note up to two factors or check the “None” box to indicate that no factors were involved.
Block E3 offers a number of options to record human factors that contribute to the ignition of a fire. More than one factor can be marked.
NFIRS 5.0 Self-Study Program
2-8
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
The last part of E3 can be useful in tracking juvenile firesetter trends and the effect of fire on the elderly. In this field mark the “Age was a factor” box when there is evidence that age was a factor in ignition. Then enter the estimated age of the person involved, and whether the person is male or female.
Section F: Equipment Involved in Ignition, Equipment Power Source, Equipment Portability
First answer the question, “Is there equipment involved in this ignition?” Equipment involved is a piece of equipment that provided the principal heat source to cause ignition. If the answer is no, then check the “None” box and go directly to Section G.
If you do not mark the “None” box you must complete the rest of the Block F1.
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
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U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
NFIRS 5.0 Self-Study Program
2-9
Block F1 has a line for you to enter a code description which best identifies the equipment involved in the ignition. To find the correct code quickly, select a subsection from the following choices:
• Heating,Ventilating&AirConditioning;
• ElectricalDistribution,LightingandPowerTransfer;
• ShopTools&IndustrialEquipment;
• Commercial&MedicalEquipment;
• GardenTools&AgriculturalEquipment;
• Kitchen&CookingEquipment;
• ElectronicEquipment;and/or
• Personal&HouseholdEquipment:Other.
Enter the brand name, model name/number, serial number, and model year of the equipment involved, if known, on the lines provided in Block F1.
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
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U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
Block F2 asks for a code that describes the power source of the equipment involved with the fire igni-tion. Examples are: gas, liquid fuels, solid fuels, and electrical. When combined with other factors in the ignition sequence, the power source can help identify the cause of the fire.
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
Fill in Block F3 by indicating whether the equipment involved in the ignition was portable or sta-tionary. Portable equipment has three characteristics:
1. It can be moved by one person.
2. It is designed to be used in multiple locations.
3. It requires no tools to install.
Equipment portability is another factor to be considered in determining the cause of a fire.
NFIRS 5.0 Self-Study Program
2-10
Section G: Fire Suppression Factors
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
Lines are provided to collect information regarding conditions or factors that affected the fire sup-pression effort or fire management decisions. If no condition or factor had an effect, mark the “None” box. Enter codes (found in NFIRS Handbook) for up to three factors or conditions that consti-tuted a significant suppression problem during the incident or might be a fire prevention problem in the future.
Example: The first-due engine company was delayed due to trouble finding location after incor-rect information (424) was given by the dispatcher.
Section H: Mobile Property Involved In Ignition
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
Block H1 has four boxes that can be marked to indicate the involvement of mobile property in an ignition. If no such property is involved, mark the “None” box. When mobile property is involved, you will need to mark Box 1, 2, or 3 to clarify the type of involvement.
Example: If the wheel rim on a car with a flat sends a spark that starts a grass fire but the car does not burn, Box 2 would be marked.
(NFIRS-3).
NFIRS 5.0 Self-Study Program
2-11
If Boxes 2 or 3 are marked, you should fill out Section H2, which uses codes to identify the type of mobile property involved. The codes are organized into categories for ground, rail, air, and water vehicles.
NOTE: When mobile property is used as a fixed building instead of transportation, check the “Not Involved” box and skip the rest of Section H. In this situation, the Structure Fire Module would be completed.
Codes also are used to indicate the make of the mobile property. The code list includes most vehicles. If the make you need is not found, use code 00 and enter the name of make on the line provided. If known, enter the model name and four-digit year of the mobile property involved.
If the mobile property has a license plate, enter the plate number and the two-letter abbreviation of the State, Province, or Territory of the plate (or registration) on the appropriate lines. Refer to the Abbreviations Section of the NFIRS Complete Reference Guide for a list of State, Province, and Territoryabbreviations.EntertheVehicleIdentificationNumber(VIN)asindicated.
The last block of Section H can be used as a local option. A box exists to indicate whether a prefire plan is available for the address of the incident.
Local Use
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
Typically, a plan of attack or a prefire plan is developed by firefighters before a fire happens at sig-nificantstructures;theplanisreferencedduringtheemergency.Someoftheinformationpresentedin a prefire plan may be based on reports from other agencies. Mark the box that corresponds to the report type to indicate which other agency reports are attached to the incident report.
SUMMARY
The Fire Module is used for any fire that extends beyond a noncombustible container. It is applicable for avehiclefireorbuildingfire;orvegetationfireunlesstheWildlandFireModuleisusedinstead.TheFireModule also can be used in conjunction with other modules such as the Structure Fire Module, when appropriate, to provide a more complete picture of what happened. As an example, completing the Fire Module collects details about the property involved. Details provided in the Structure Fire Module provide clear information about the buildings involved in the fire, how the fire started, and detection and suppression equipment present.
NFIRS 5.0 Self-Study Program
2-12
EXAMPLE: Dwelling Fire
Directions: Read the call information in the example below. Then look at the completed Fire Module Form. Look at each section and follow along with the proper use of the information as applicable to the Fire Module.
The Jonesville, Wisconsin, Fire Department, Station 1, FDID #TR300, is called at 0156 hours on July 4, 2002, to respond to a fire in a single-family dwelling. The first unit, Engine 3, arrives at 2022 and discovers heavy smoke and fire coming from the house.
A family of four occupied the house: a father, a mother, and two children, ages 3 and 7. Two crew members from Engine 3 conducted a primary search for victims, located the family in bedrooms on the second floor, and rescued all the family members from the structure.
The rest of the crew brought a hoseline into the house. The fire was confined to the first floor, brought under control, and extinguished at 0215. There was significant fire damage to two rooms: (1) the kitchen, where the fire originated from a defective toaster, which ignited a fire that went up a wall, and (2) the dining room. The incident number was #9900332. The brand of the toaster was a Toastwell, Model #ZX2, Serial #567X. The toaster was manufactured in 1985.
NFIRS 5.0 Self-Study Program
2-13
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
T R 3 0 0 W I 0 7 2 0 0 20 4 0 0 1 9 9 0 0 3 3 2 0 0 0
0 0 0 1
0 0 1
X
2 4
1 0
1 5
Kitchen
Heat from Powered Equipment
Interior Wall Covering
Fiberboard6 5
X
2 0 Mechanical Failure
X
6 3 7 Electric Toaster
toastwell
ZX2
567X
1 9 8 5
1 0 Electrical, other
X
X
X
NFIRS 5.0 Self-Study Program
2-14
EXERCISE SCENARIO 2-1: Laundromat Fire
Directions: Read the call information in the exercise below. Use the information provided to complete the Fire Module form. Compare your work to the answers provided on the completed Fire Module form. If your answers are different from the ones provided, read over the Fire Module again.
On July 1, 2002, at 1338 hours, Station 1 of the Jonesville, Wisconsin, Fire Department (FDID TR100) responded to a call from a police officer who observed heavy smoke in a Laundromat in a multiple-use commercial structure. Engine 2 arrived at 1400 hours, and immediately called for a second alarm. The other businesses in the structure were occupied, and the Laundromat was open for business but no one was present. A lumber supply company was located next to the structure. The laundromat was 50-percent involved with smoke and heavy visible fire. The fire service per-sonnel on the scene conducted a primary search for victims, and found none. They evacuated all employees in the other offices; performed horizontal ventilation at the site of the fire, protected the exposure in the adjacent office and at the lumberyard. The fire was extinguished at 1430 hours. The fire was caused by flammable fibers caught in an improperly ventilated natural gas clothes dryer, a GCM Model 1992G, Serial Number 688599332C. The dryer was manufactured in 1992. There was extensive damage to the laundromat. Most equipment and all of the furniture were destroyed. The incident was reported as #9900211.
NFIRS 5.0 Self-Study Program
2-15
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
NFIRS 5.0 Self-Study Program
2-16
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use
T R 1 0 0 W I 0 7 2 0 0 20 1 0 0 1 9 9 0 0 2 1 1 0 0 0
0 0 1
X
X
6 1 1 Industrial Machinery
5 4 3 Cleaning Supplies
0 0 0 Other
2 6
1 0
9 4
Laundry Area
Heat from Powered Equip.; Other
Dust, fibers, lint
7 1 Fabric
X
4 0 Installation Deficiency
8 1 1 Clothes Dryer
GCM
1992G
688599332C
1 9 9 2
2 1 Natural Gas
X
X
X
NFIRS 5.0 Self-Study Program
2-17
EXERCISE SCENARIO 2-2: Vehicle Fire on I-95
Directions: Read the call information in the exercise below. Use the information provided to complete the entire Fire Module form and other required forms. Compare your work to the answers provided in Appendix A. If your answers are different from the ones provided, read over the Fire Module again.
The Alberta Fire Department (FDID #92188) responded to a vehicle fire on I-95 near mile marker 73 and Exit 2B in Brunswick, Virginia 23351 on May 3, 2002. The dispatcher assigned the incident (#5455) to Engine Co. 2 and Truck 1 from Shift C. The units received the alarm at 11:58 p.m. and arrived at the scene in 6 minutes with a four-person engine crew and a two-person truck crew. Flame and smoke were coming from the vehicle. The owner of the vehicle, Mr. Robert L. Anderson, was driving to Emporia, Virginia, to return his son, Joseph, to his mother. Mr. Anderson lives at 630 Second Avenue, Jarrett, North Carolina 24501. His telephone number is 414-432-0987. He said that his front seat caught on fire. In an effort to extinguish the fire, the car crashed into the guardrail. He called 911 from his cellular telephone. He said that he was driving for 2 hours and became drowsy from a prescription drug that he took. The vehicle was a 1999 Ford Explorer, Virginia License Plate Number ACZ586, and VIN 1FBEU54XXABC45634. The firefighters extinguished the fire; it was under control at 12:10 a.m. They determined that a burning cigarette caused the fire. The cigarette ignited the seat causing $26,000 property dam-age and no content loss to the vehicle. The last unit cleared the scene at 12:35 a.m. FF1 Steve B. LaCivita, Badge No. 230, completed the report after returning to Station No. 1. Captain Ernest Greene, Badge No. 100, was the officer in charge. The fire department keeps records on the loca-tion of all responses. The incident was in Census Tract 501.2, District A05.
NFIRS 5.0 Self-Study Program
2-18
1
2
U
C Incident Type
Incident Type
PRE-INCIDENT VALUE: Optional
Estimated Dollar Losses and ValuesG2
LOSSES: None
Property $ , ,
Contents $ , ,
Property $ , ,
Contents $ , ,
Check this box and skip this block if anApparatus or Personnel Module is used.
PersonnelApparatus
Check box if resource counts include aidreceived resources.
EMS
Other
Suppression
ResourcesG1
Completed ModulesFire–2
Structure Fire–3
Civilian Fire Cas.–4
Fire Service Cas.–5
EMS–6
HazMat–7
Wildland Fire–8
Apparatus–9
Personnel–10
Arson–11
E2Shifts and Alarms
Shift orPlatoon
Alarms District
Local Option
E3Special Studies
SpecialStudy ID#
SpecialStudy Value
Local Option
NFIRS–1 Revision 01/01/05
J Property Use
Outside
Property Use
Mixed UseProperty
I
10
20
33
40
51
53
58
59
60
63
65
00
Not mixed
Assembly use
Education use
Medical use
Residential use
Row of stores
Enclosed mall
Business & residential
Office use
Industrial use
Military use
Farm use
Other mixed use
131161162213215241311331
Structures
Church, place of worshipRestaurant or cafeteriaBar/tavern or nightclubElementary school, kindergartenHigh school, junior highCollege, adult educationNursing homeHospital
341342361419429439449459464519
Clinic, clinic-type infirmaryDoctor/dentist officePrison or jail, not juvenile1- or 2-family dwellingMultifamily dwellingRooming/boarding houseCommercial hotel or motelResidential, board and careDormitory/barracksFood and beverage sales
539571579599615629700819882891
124655669807919931
Playground or parkCrops or orchardForest (timberland)Outdoor storage areaDump or sanitary landfillOpen land or field
936938946951960961962
Vacant lotGraded/cared for plot of landLake, river, streamRailroad right-of-wayOther streetHighway/divided highwayResidential street/driveway
981984
Construction siteIndustrial plant yard
Household goods, sales, repairsGas or service stationMotor vehicle/boat sales/repairsBusiness officeElectric-generating plantLaboratory/science laboratoryManufacturing plantLivestock/poultry storage (barn)Non-residential parking garageWarehouse
Look up and enter aProperty Use code and description only if youhave NOT checked a Property Use box.
None
InjuriesDeaths
Casualties
FireService
Civilian
DetectorH2Required for confined fires.
Detector alerted occupants
Detector did not alert them
Unknown
H3 Hazardous Materials Release None
Natural gas: slow leak, no evacuation or HazMat actions
Propane gas: <21-lb tank (as in home BBQ grill)
Gasoline: vehicle fuel tank or portable container
Kerosene: fuel burning equipment or portable storage
Diesel fuel/fuel oil: vehicle fuel tank or portable storage
Household solvents: home/office spill, cleanup only
Motor oil: from engine or portable container
Paint: from paint cans totaling <55 gallons
Other: special HazMat actions required or spill > 55 gal
(Please complete the HazMat form.)
1
2
3
4
5
6
7
8
0
Census Tract -
DeleteAChange
NFIRS–1
BasicNo Activity
Cross Street, Directions or National Grid, as applicable
SuffixNumber/Milepost Prefix Street or Highway Street Type
City ZIP CodeStateApt./Suite/Room
-
B Location Type
Street addressIntersectionIn front ofRear ofAdjacent toDirections
Check this box to indicate that the address for this incident is provided on the Wildland FireModule in Section B, “Alternative Location Specification." Use only for wildland fires.
US National Grid
Primary Action Taken (1)
Additional Action Taken (2)
Additional Action Taken (3)
Actions TakenF
Their FDID
Their Incident Number
TheirState
Mutual aid received
Auto. aid received
Mutual aid given
Auto. aid given
Other aid given
None
12
3
4
5
D Aid Given or Received
E1Dates and Times Midnight is 0000
Year Hour MinMonth Day
ALARM always required
ARRIVAL required, unless canceled or did not arrive
CONTROLLED optional, except for wildland fires
LAST UNIT CLEARED, required except for wildland fires
Check boxes ifdates are thesame as AlarmDate.
Alarm
Arrival
Controlled
Last UnitCleared
Incident NumberStationFDID ExposureIncident Date
MM DD YYYY
State
H1
Code
Property Use Description
Required for all fires if known.Optional for non-fires.
None
NFIRS 5.0 Self-Study Program
2-19
More remarks? Check this box and attach Supplemental Forms (NFIRS–1S) as necessary.
Remarks:
Local Option
L
ITEMS WITH A MUST ALWAYS BE COMPLETED!
Business Name (if applicable)
Check this box if sameaddress as incidentLocation (Section B).Then skip the threeduplicate addresslines.
OwnerK2Local Option Area Code Phone Number
Mr., Ms., Mrs. SuffixLast NameMIFirst Name
ZIP CodeState
CityApt./Suite/Room
SuffixStreet TypeStreet or HighwayPrefixNumber
Same as person involved?Then check this box and skipthe rest of this block.
Post Office Box
More people involved? Check this box and attach Supplemental Forms (NFIRS–1S) as necessary.
Business Name (if applicable)
Check this box if sameaddress as incidentLocation (Section B).Then skip the threeduplicate addresslines.
Person/Entity InvolvedK1Local Option
Area Code Phone Number
Mr., Ms., Mrs. SuffixLast NameMIFirst Name
ZIP CodeState
CityApt./Suite/RoomPost Office Box
SuffixStreet TypeStreet or HighwayPrefixNumber
M Authorization
Officer in charge ID Signature Position or rank Assignment YearMonth Day
Member making report ID Signature Position or rank Assignment Month Day Year
Check box ifsame asOfficer incharge.
Check the box that applies and then complete the Fire Modulebased on Incident Type, as follows:
Fire Module Required?
Buildings 111Special structure 112
Confined 113–118Mobile property 120–123Vehicle 130–138Vegetation 140–143Outside rubbish fire 150–155Special outside fire 160Special outside fire 161–163Crop fire 170–173
Complete Fire & Structure ModulesComplete Fire Module &Section I, Structure Module
Basic Module OnlyComplete Fire ModuleComplete Fire ModuleComplete Fire or Wildland ModuleBasic Module OnlyComplete Fire or Wildland ModuleComplete Fire ModuleComplete Fire or Wildland Module
NFIRS 5.0 Self-Study Program
2-20
StationFDID ExposureIncident Date
MM DD YYYY
State
DeleteNFIRS–2
FireA
Change
F3Equipment Portability
Portable
Stationary
Portable equipment normally can be moved byone or two persons, is designed to be used in multiple locations, and requires no tools to install.
1
2
F2Equipment Power Source
Equipment Power Source
D
Area of fire origin
Heat source
Item first ignited
Type of material first ignited
D1
D2
D3
D4
Ignition
Check box if fire spread wasconfined to object of origin.
Required only if item firstignited code is 00 or <70
1
Fire suppression factor (1)
Fire suppression factor (2)
Fire suppression factor (3)
G NoneFire Suppression Factors
Enter up to three codes.
,
Acres burned (outside fires)
Not Residential
Number of buildings involved
Estimated number of residential living units inbuilding of origin whether or not all units
became involved
B2
B3
Buildings not involved
Less than one acre
None
Property Details
B1
B
Factor contributing to ignition (1)
Factor contributing to ignition (2)
Factors Contributing to Ignition NoneE2
IntentionalUnintentionalFailure of equipment or heat sourceAct of natureCause under investigationCause undetermined after investigation
E1Cause of Ignition
Check box if this is an exposure report.
12345
U
Skip to
Section G
Mobile property type
License Plate Number State
YearMobile property model
Mobile Property Type and MakeH2
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS–3).
Mobile property make
None
Equipment Involved in Ignition
Equipment Involved
Brand
Year
F1
Model
Serial #
If equipment was not involved, skip toSection G
AsleepPossibly impaired byalcohol or drugsUnattended personPossibly mentally disabledPhysically disabledMultiple persons involved
E3Human FactorsContributing to Ignition
Check all applicable boxesNone
Age was a factor
Estimated age ofperson involved
Male Female1 2
12
3456
7
Complete if there were any significant amounts ofcommercial, industrial, energy, or agricultural products oror materials on the property, whether or not they became involved
Enter up to three codes. Check one box for each codeentered.
On-Site Materialsor ProductsC None
NFIRS–2 Revision 01/01/05
Arson report attachedPolice report attachedCoroner report attachedOther reports attached
Local Use
Pre-Fire Plan AvailableSome of the information presented in this report may bebased upon reports from other agencies:
Incident Number
1
2
3 Involved in ignition and burned
Not involved in ignition, but burned
Mobile Property InvolvedH1
None
Involved in ignition, but did not burn
On-site material (2)
On-site material (3)
On-site material (1)
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
Bulk storage or warehousing1Processing or manufacturing2Packaged goods for sale3Repair or service4UndeterminedU
On-Site MaterialsStorage Use